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It is this factor that can form the erroneous assumption that hookahs affect weight

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Survey after survey shows [that] when you ask people who have tried e-cigarettes what [they tried] for, one big chunk says to quit smoking and another big chunk says to reduce smoking, said Jonathan Foulds, PhD, professor of public health sciences and psychiatry at Penn State College of Medicines Cancer Institute

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Due to the known link between inhaled diacetyl and bronchiolitis obliterans, these revelations sparked immediate and widespread concern among health authorities, vapor consumers, and the vapor industry